Characterization of Laparoscopic Surgeries in the Gynecology Service at Hospital Materno-Infantil Ángel Arturo Aballí

Abstract

Introduction: Laparoscopic gynecological surgery allows for the patient to undergo surgery without having to open their abdomen, since it consists in making small incisions. It is currently used in diseases such as cancer or in the removal of cysts and myomas; therefore, it can be applied in almost any gynecological surgery.

Objective: To characterize the laparoscopic procedures of the gynecology service at Hospital Materno-Infantil Ángel Arturo Aballí, in the period from January 2018 to December 2021.

Methods: An observational, descriptive, retrospective and longitudinal study was carried out in order to describe the laparoscopic assistance activity. The sample consisted of 180 patients, according to the researchers’ nonprobabilistic selection criteria.

Results: The mean age was 41.6 years. Concerning antecedents, uterine size predominated, with 91.1 % (n = 164). Among surgical indications, satisfied parity was found in 34.4 %, followed by ovarian tumor (18.9 %), cervical intraepithelial neoplasms (13.4 %) and symptomatic uterine fibroid. With respect to major surgery, laparoscopic abdominal hysterectomy was found in 49.0 % (n = 78), followed by salpingectomy, with 38.9 %; such results are statistically significant (p = 0.004). Regarding minor surgery, 11.6 % of the sample received ablation of endometrial focuses. Complications were rare.

Conclusions: The laparoscopic procedures of the gynecology service at Hospital Materno-Infantil Ángel Arturo Aballí are considered adequate according to the surgical indicators.